Application of facial-submental artery island flap in reconstruction of oral and maxillofacial defects

The facial submental artery island flap (FSAIF) is a fasciocutaneous flap supplied by the facial submental artery. It is in close proximity with many oral and maxillofacial regions, and its tex ture and color are similar to those of the head and face. The flap has a constant and sufficient blood sup...

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Main Author: CHEN Weiliang
Format: Article
Language:zho
Published: Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases 2022-01-01
Series:口腔疾病防治
Subjects:
Online Access:http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2022.01.002
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author CHEN Weiliang
author_facet CHEN Weiliang
author_sort CHEN Weiliang
collection DOAJ
description The facial submental artery island flap (FSAIF) is a fasciocutaneous flap supplied by the facial submental artery. It is in close proximity with many oral and maxillofacial regions, and its tex ture and color are similar to those of the head and face. The flap has a constant and sufficient blood supply, and it is easy to prepare and has high survival rates and few complications. According to the tissue carried, FSAIF can be divided into fasciocutaneous flaps, myocutaneous flaps and simple flaps. The flap can also be made into an osteofasciocutaneous (myocutaneous) flap with a mandible to repair maxillary defects. Because this flap is a pedicled flap, it can greatly shorten the operation time, bed rest time and hospitalization time and has been widely used in repairing medium-sized defects of the oral and maxillofacial region. The indications for FSAIF in repairing maxillofacial defects should be strictly controlled. It can be safely used for benign or malignant tumors without cervical lymph node metastasis. For malignant tumors with cervical lymph node metastasis but without extranodal extension, the flap can be used on the premise of thorough neck dissection. The contraindication is cervical lymph node metastasis and extranodal extension of malignant tumors; therefore, other flaps should be selected for repair.
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spelling doaj.art-f3c9e37d7fca46efa43932c0c61c8d552022-12-22T04:04:04ZzhoEditorial Department of Journal of Prevention and Treatment for Stomatological Diseases口腔疾病防治2096-14562022-01-0130121110.12016/j.issn.2096-1456.2022.01.002Application of facial-submental artery island flap in reconstruction of oral and maxillofacial defectsCHEN Weiliang0Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen UniversityThe facial submental artery island flap (FSAIF) is a fasciocutaneous flap supplied by the facial submental artery. It is in close proximity with many oral and maxillofacial regions, and its tex ture and color are similar to those of the head and face. The flap has a constant and sufficient blood supply, and it is easy to prepare and has high survival rates and few complications. According to the tissue carried, FSAIF can be divided into fasciocutaneous flaps, myocutaneous flaps and simple flaps. The flap can also be made into an osteofasciocutaneous (myocutaneous) flap with a mandible to repair maxillary defects. Because this flap is a pedicled flap, it can greatly shorten the operation time, bed rest time and hospitalization time and has been widely used in repairing medium-sized defects of the oral and maxillofacial region. The indications for FSAIF in repairing maxillofacial defects should be strictly controlled. It can be safely used for benign or malignant tumors without cervical lymph node metastasis. For malignant tumors with cervical lymph node metastasis but without extranodal extension, the flap can be used on the premise of thorough neck dissection. The contraindication is cervical lymph node metastasis and extranodal extension of malignant tumors; therefore, other flaps should be selected for repair.http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2022.01.002submental artery island flapfacial-submental artery island flappedicled flaphead and neck defectoral and maxillofacial defectreconstructionoral carcinomaoropharyngeal carcinomalip carcinomacervical lymphnode metastasisextranodal extension
spellingShingle CHEN Weiliang
Application of facial-submental artery island flap in reconstruction of oral and maxillofacial defects
口腔疾病防治
submental artery island flap
facial-submental artery island flap
pedicled flap
head and neck defect
oral and maxillofacial defect
reconstruction
oral carcinoma
oropharyngeal carcinoma
lip carcinoma
cervical lymphnode metastasis
extranodal extension
title Application of facial-submental artery island flap in reconstruction of oral and maxillofacial defects
title_full Application of facial-submental artery island flap in reconstruction of oral and maxillofacial defects
title_fullStr Application of facial-submental artery island flap in reconstruction of oral and maxillofacial defects
title_full_unstemmed Application of facial-submental artery island flap in reconstruction of oral and maxillofacial defects
title_short Application of facial-submental artery island flap in reconstruction of oral and maxillofacial defects
title_sort application of facial submental artery island flap in reconstruction of oral and maxillofacial defects
topic submental artery island flap
facial-submental artery island flap
pedicled flap
head and neck defect
oral and maxillofacial defect
reconstruction
oral carcinoma
oropharyngeal carcinoma
lip carcinoma
cervical lymphnode metastasis
extranodal extension
url http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2022.01.002
work_keys_str_mv AT chenweiliang applicationoffacialsubmentalarteryislandflapinreconstructionoforalandmaxillofacialdefects